High volume retrograde portography for better discrimination of the portal vein during TIPS procedure-Reference-Cited by-同舟云学术

High volume retrograde portography for better discrimination of the portal vein during TIPS procedure

Published:2022-09 Issue:9 Volume:11 Page:205846012211284
ISSN:2058-4601
Container-title:Acta Radiologica Open
language:en
Short-container-title:Acta Radiologica Open

Author:

Altenbernd J¹²^ORCID,Zimmer S³,Andrae L⁴,Labonte B⁴,Gruber J⁴,Beier H⁵,Abdulgader M⁵,Buechter M⁶,Forsting M¹,Theysohn J¹

Affiliation:

1. Institute of Diagnostic and Interventional Radiology and Neuroradiology, University Hospital Essen, Germany

2. Institute of Radiology and Neuroradiology, Gemeinschaftskrankenhaus Herdecke, Germany

3. Institute of Radiology and Neuroradiology, St Marien-Hospital Hamm, Gemeinschaftskrankenhaus Herdecke, Germany

4. Internal Medicine and Gastroenterology, Gemeinschaftskrankenhaus Herdecke, Germany

5. Internal Medicine and Gastroenterology, Allgemeines Krankenhaus Hagen, Germany

6. Internal Medicine and Gastroenterology, St Elisabeth Hospital Iserlohn, Germany

Abstract

Background: Imaging of the portal vein prior to puncture for TIPS is essential. Purpose: With this study, we examined a modified retrograde portography with regard to the reliable representation of the portal vein. Material and Methods: Prospective evaluation of 65 TIPS interventions with regard to the delimitation of the portal vein and the exact parameters of retrograde portography such as catheter diameter and contrast medium volume per injection. Results: Retrograde portographies with a large-lumen catheter (10 F) and a large contrast medium volume (40 mL) were performed in 35/63 patients with significantly better delineation of the portal vein than when using 5 F catheters with 10 mL contrast medium. Conclusion: The so-called high volume retrograde portography leads to better delimitation of the portal vein during TIPS application.

Publisher

SAGE Publications

Subject

General Earth and Planetary Sciences,General Environmental Science

Link

http://journals.sagepub.com/doi/pdf/10.1177/20584601221128405

Reference16 articles.

1. Transjugular Portal Venography and Radiologic Portacaval Shunt: An Experimental Study

2. Early Use of TIPS in Patients with Cirrhosis and Variceal Bleeding

3. Imaging of the portal vein during transjugular intrahepatic portosystemic shunt procedures: a comparison of carbon dioxide and iodinated contrast

4. Identification of the portal vein: Wedge hepatic venography with CO2 or iodinated contrast medium

5. CO2 wedged hepatic venography in the evaluation of portal hypertension